Salpingectomy for Sterilization
|
|
- Melvyn Hood
- 6 years ago
- Views:
Transcription
1 Salpingectomy for Sterilization Change in Practice in a Large Integrated Health Care System Journal Club November 15, 2017 Blaine Campbell, DO
2 Salpingectomy for Sterilization: Change in Practice in a Large Integrated Health Care System, C. Bethan Powell MD et all Obstetrics and Gynecology, 130: November 2017 From the Kaiser Permanente Northern California Gynecologic Cancer Program San Francisco, Kaiser Permanente Northern California Division of Research Oakland, Kaiser Permanente OBGYN Residency Program San Francisco, and the Division of Gynecologic Oncology at the University of Virginia, Charlottesville, VA
3 Background Evidence supports the fallopian tube as the potential site of origin for some ovarian cancers In 2013, the Kaiser Permanente Northern California group published a policy statement recommending salpingectomies for surgical tubal sterilization at the time of hysterectomy Society of Gynecologic Oncologists (SGO) and American College of Obstetricians and Gynecologists (ACOG)
4 By performing salpingectomy in operation in which the fallopian tubes could be removed the risk of ovarian cancer may be further reduced. Randomized controlled trials are needed to support the validity of this approach. Other than a significant increase in operative time no significant differences in operative times or complication rates for salpingectomy have been identified. For women at population risk (average) for ovarian cancer, salpingectomy should be considered (after completion of childbearing) at the time of hysterectomy, in lieu of tubal ligation, and also at the time of other pelvic surgery. The pathologic specimen processing in low risk women should include representative sections of the tube, any suspicious lesions, and entire sectioning of the fimbriae.
5 Materials and Methods Retrospective cohort study, including 10,741 total cases PRIMARY OBJECTIVE Evaluate utilization of salpingectomy for tubal sterilization in the cesarean, postpartum, and interval settings from SECONDARY OUTCOMES Blood loss Operating time Length of stay Readmission rates within 30 days ER visits within 7 days
6 Materials and Methods INCLUSION CRITERIA Age >18 years old Surgical database ( tubal occlusion, ligation, fulguration, salpingectomy, cesarean ) EXCLUSION CRITERIA Hysterectomy Procedure involving oophrectomy Diagnosis of ectopic pregnancy Personal history of ovarian cancer, BRCA1/BRCA2, or Lynch mutation
7 Materials and Methods Salpingectomy Occlusion procedures: clips, rings, fulguration, partial salpingectomy, and cutting/suture interruption as previously described by Westberg et al Most were bipolar, monopolar, or suture Other information collected: Age, race, parity, neighborhood poverty level, BMI Medical center surgery was performed, OR time, postop stay, EBL Readmissions and ER visits used as markers of complications
8 Materials and Methods Peripartum: performed at time of cesarean and within 3 days of vaginal delivery Cesarean and postpartum Interval: all other procedures Concurrent procedures: performed with any other major procedure (ex: cholecystectomy, ovarian cystectomy, appendectomy); minor procedures not included (cervical biopsies or EMB) Information broken down in 1-year intervals X 2 and Fisher exact tests
9 Results PRIMARY OUTCOME: Evaluate utilization of salpingectomy for tubal sterilization in the cesarean, postpartum, and interval settings from Increase in utilization of salpingectomy as method of sterilization for interval sterilization but not for peripartum period
10
11 Results SECONDARY OUTCOMES: (salpingectomy vs tubal occlusion) Blood loss Cesarean: 700ml vs 660ml (P = 0.24) Postpartum: 250ml vs 200ml (P = 0.04). Interval: 5ml for both (P = 0.65) Operating time Cesarean: 9.5 minutes longer (P = <0.001) Postpartum: 17 minutes longer (P = 0.003) Interval: 3 minutes longer (P = <0.001)
12 Results SECONDARY OUTCOMES: (salpingectomy vs tubal occlusion) Length of stay no statistically significant change Readmission rates within 30 days no statistically significant change ER visits within 7 days no statistically significant change
13
14 Discussion ACOGs recommendation, SGO recommendation Practice similar to WMC prior to release of material Most tubals were occlusive by bipolar, monopolar, and suture Meticulous about data to ensure numbers were correct for each procedure Coding of procedures and checking pathology reports Considering another major procedure at same time as sterilization Distinguishing between procedure types Numbers Broke down data to cesarean, postpartum, and interval tubals for interpretation and utilization into one s own practice
15 Questions and Comments
16 Thank you
17
18
19
20
21
22
23
Female Sterilization. Kavita Nanda, MD, MHS FHI 360 Expanding Contraceptive Choice December 6, 2018
Female Sterilization Kavita Nanda, MD, MHS FHI 360 Expanding Contraceptive Choice December 6, 2018 What is female sterilization? Family planning method that provides permanent contraception to women and
More informationAccording to the most recent data (2011
CONTRACEPTION Adopting the opportunistic salpingectomy philosophy for benign hysterectomies has been fairly easy for ObGyns, but what about for permanent? Is it time to advocate for this global practice?
More informationContents Introduction. Recommendations at a Glance. Introduction. Background. Clinical Recommendations
Salpingectomy for Ovarian Cancer Prevention May 2013 Contents Introduction Indications for Salpingectomy Technique Pathology Processing References, Authors, Appendix, Acknowledgements, and Disclaimer Recommendations
More informationChristine Garcia, MD 1, Liisa Lyon, MS 2, Ramey D. Littell, MD 1 and C. Bethan Powell, MD 1
American College of Medical Genetics and Genomics Comparison of risk management strategies between women positive for a BRCA variant of unknown significance and women with known BRCA deleterious mutations
More informationChristine Herde, MD, FACOG
Christine Herde, MD, FACOG Vice Chair, Department of OB/GYN CareMount Medical, Mount Kisco, NY Assistant Director of OB/GYN, Mount Sinai Health System at CareMount Medical 1. OSE presumption that Ovarian
More informationMEDICAL POLICY SUBJECT: FEMALE STERILIZATION. POLICY NUMBER: CATEGORY: Contract Clarification
MEDICAL POLICY SUBJECT: FEMALE STERILIZATION PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More information6 Week Course Agenda. Today s Agenda. Ovarian Cancer: Risk Factors. Winning the War 11/30/2016 on Women s Cancer Gynecologic Cancer Prevention
6 Week Course Agenda Winning the War 11/30/2016 on Women s Cancer Gynecologic Cancer Prevention Lee-may Chen, MD Director, Division of Gynecologic Oncology Professor Department of Obstetrics, Gynecology
More informationPRETREATMENT ASSESSMENT & MANAGEMENT (MODULE 1 B) March, 2018
PRETREATMENT ASSESSMENT & MANAGEMENT (MODULE 1 B) March, 2018 Clinical Assessment A thorough clinical evaluation is a prerequisite for ART A thorough clinical evaluation as detailed in the female and male
More informationKey Recommendations. Gynecologic management of women with inherited risk of gynecologic cancer
Gynecologic management of women with inherited risk of gynecologic cancer C. Bethan Powell MD Kaiser Permanente Northern California Gynecologic Oncology Program Lead, Kaiser Permanente Northern California
More informationOpportunistic Risk Reduction Salpingectomy and Ovarian Cancer
Opportunistic Risk Reduction Salpingectomy and Ovarian Cancer G. Kevin Donovan, MD, MA Kevin FitzGerald, SJ, Ph.D., Ph.D. Daniel Sulmasy, MD, Ph.D. Ovarian cancer has the highest mortality rate of all
More informationKey Recommendations. Gynecologic management of women with inherited risk of gynecologic cancer. HBOC related genes. I have nothing to disclose
Gynecologic management of women with inherited risk of gynecologic cancer C. Bethan Powell MD Kaiser Permanente Northern California Gynecologic Oncology Program I have nothing to disclose Key Recommendations
More informationGynecologic Quality Measures. David M. Jaspan, DO FACOOG Chairman The Department of Obstetrics and Gynecology The Einstein Healthcare Network
Gynecologic Quality Measures David M. Jaspan, DO FACOOG Chairman The Department of Obstetrics and Gynecology The Einstein Healthcare Network Presenter Disclosure No Conflict of Interest to disclose No
More informationda Vinci Hysterectomy Overview Hysterectomy Facts
da Vinci Hysterectomy for Benign Gynecologic Conditions K. Toursarkissian,MD Beaver Medical Group Dept of OB/GYN Banning, California Overview Welcome & Introductions Hysterectomy in the US da Vinci Surgery
More informationInstruction for the patient
Instruction for the patient Your situation You are a 38-year-old, woman who is pregnant with her third child You and your partner agree that with this child your family is complete In the past, you used
More informationLaparoscopic Salpingectomy for Ectopic Pregnancy Simulation
Preparation Simulators to be used 1. Laparoscopic box trainers will be used 2. Laparoscopic Maryland graspers, laparoscopic endoshears and a locking grasper will be available for each participant 3. Premade
More informationBirth Control- an Overview. Keith Merritt, MD. Remember, all methods of birth control are safer and have fewer side effects than pregnancy
Birth Control- an Overview Keith Merritt, MD Basics Remember, all methods of birth control are safer and have fewer side effects than pregnancy Even with perfect use, each method of birth control has a
More informationA Study on Tubal Recanalization
DOI 10.1007/s13224-012-0165-5 ORIGINAL ARTICLE Ramalingappa A. Yashoda Received: 23 May 2009 / Accepted: 9 March 2012 / Published online: 8 June 2012 Ó Federation of Obstetric & Gynecological Societies
More informationBoth type I and type II tumors develop from extraovarian tissue that implants on the ovary. Both for LGSC and HGSC, the fallopian tube appears to be
Recent studies have led to the development of a new paradigm for the pathogenesis and origin of EOC, based on a dualistic model of carcinogenesis that divides EOC into 2 broad categories designated types
More informationGyn Define Gyn at Dictionary British Dictionary definitions for gyngyn combining form variant of gyno What Is an OB GYN Healthline Medical
Gyn Define Gyn at Dictionary British Dictionary definitions for gyngyn combining form variant of gyno What Is an OB GYN Healthline Medical information What does an OB GYN do, and when should you see one
More informationimproved with an MIS approach. This clinical benefit for American women has been demonstrated with Level I evidence. Hysterectomy is one of the most
Statement of the Society of Gynecologic Oncology to the Food and Drug Administration s Obstetrics and Gynecology Medical Devices Advisory Committee Concerning Safety of Laparoscopic Power Morcellation
More informationGynecology Oncology Rotation
McGill University Obstetrics and Gynecology Residency Program Goals and Objectives Gynecology Oncology Rotation Overview Goal The primary goal of the resident s Gynecology Oncology rotation of 4 weeks
More informationAccreditation Council for Graduate Medical Education
Obstetrics And Gynecology Case Logs National Data Report Accreditation Council for Graduate Medical Education Prepared by: Department of Applications and Data Analysis I. National Resident Statistics Main
More informationRobot-Assisted Gynecologic Surgery. Gynecologic Surgery
Robot-Assisted Gynecologic Surgery Alison F. Jacoby, MD Department of Obstetrics, Gynecology and Reproductive Sciences University of California, San Francisco Robot-Assisted Gynecologic Surgery Clinical
More informationPartners: Introductions: Dr. Carolyn Johnston Deanna Cosens & Ann Garvin. Ovarian Cancer and Primary Care July 16, :00 9:00am EST 7/16/2014
Welcome To The Webinar Technical Support Ovarian Cancer and Primary Care July 16, 2014 8:00 9:00am EST In order to hear the presentation please call 1 (626) 544-0058, access code 167-314-644, followed
More informationLindsey Tingen, MD Department of Obstetrics and Gynecology, Greenville Health System Greenville, SC
Postpartum IUD Insertion: Continued Usage at Six Months Based on Expulsion and Removal Rates at Greenville Memorial Hospital in the First Year After Adoption of the Practice Lindsey Tingen, MD Department
More informationGynecologic Cancers are many diseases. Gynecologic Cancers in the Age of Precision Medicine Advances in Internal Medicine. Speaker Disclosure:
Gynecologic Cancer Care in the Age of Precision Medicine Gynecologic Cancers in the Age of Precision Medicine Advances in Internal Medicine Lee-may Chen, MD Department of Obstetrics, Gynecology & Reproductive
More informationGynecologic Cancers are many diseases. Speaker Disclosure: Gynecologic Cancer Care in the Age of Precision Medicine. Controversies in Women s Health
Gynecologic Cancer Care in the Age of Precision Medicine Gynecologic Cancers in the Age of Precision Medicine Controversies in Women s Health Lee-may Chen, MD Department of Obstetrics, Gynecology & Reproductive
More informationCURRICULUM VITAE. Steven G. Bernstein, M.D. 718 Kessler Lake Drive Dallas, TX (214)
ADDRESS: CITIZENSHIP: 718 Kessler Lake Drive Dallas, TX 75208 (214) 676-8101 bernsts2@icloud.com United States MARITAL STATUS: Married DEGREES: B.A. George Washington University, 1971 Graduated with distinction
More informationDisclosures/Conflict of Interest. Learning Objectives 10/2/2015. Opportunistic salpingectomy for ovarian cancer prevention Jessica N McAlpine, UBC
Opportunistic salpingectomy for ovarian cancer prevention Jessica N McAlpine, UBC Disclosures/Conflict of Interest No conflicts of interest to declare No discussion re off label use and/or investigational
More informationUniversity Gynecologic Oncology Associates
University Gynecologic Oncology Associates Medical History Form Date: Name: Date of Birth: / / GYNE HISTORY Age of first period? If you no longer have periods, at what age did they stop? Are you pregnant
More informationChronic Pelvic Pain. Bridget Kamen, MD Obstetrics and Gynecology, Confluence Health. I have no disclosures
Chronic Pelvic Pain Bridget Kamen, MD Obstetrics and Gynecology, Confluence Health I have no disclosures Objectives A little epidemiology Understand there are both gynecologic and non-gynecologic causes
More informationResearch Article Body Mass Index and Its Role in Total Laparoscopic Hysterectomy
International Scholarly Research Notices, Article ID 787604, 5 pages http://dx.doi.org/10.1155/2014/787604 Research Article Body Mass Index and Its Role in Total Laparoscopic Hysterectomy Shilpa Bhandari,
More informationOVARIAN CANCER Updates in Screening, Early Detection and Prevention
UW MEDICINE SUSAN PATRICIA TECK MEMORIAL LECTURE October 2017 OVARIAN CANCER Updates in Screening, Early Detection and Prevention BARBARA GOFF, MD Seattle Gynecologic Society March 2018 OVARIAN CANCER
More informationIndex. B Bladder, injury of, Bowel, injury of, , Brachytherapy, for cervical cancer, 357 Burns, electrosurgical,
Perioperative Nursing Clinics 1 (2006) 375 379 Index Note: Page numbers of article titles are in boldface type. A Abdominal hysterectomy Acidosis, from insufflation, 323 Active electrode monitoring, in
More informationAn analysis of the impact of previous laparoscopic hysterectomy experience on the learning curve for robotic hysterectomy
J Robotic Surg (2013) 7:295 299 DOI 10.1007/s11701-012-0388-6 ORIGINAL ARTICLE An analysis of the impact of previous laparoscopic hysterectomy experience on the learning curve for robotic hysterectomy
More informationSafety communications warning against use of power
Original Research Minimally Invasive Hysterectomy and Power Morcellation Trends in a West Coast Integrated Health System Eve Zaritsky, MD, Lue-Yen Tucker, BA, Romain Neugebauer, PhD, Tatiana Chou, MD,
More informationCost-benefit analysis of state and hospital funded postpartum intrauterine contraception for recent immigrants to the United States
2010 Contraception Outstanding Article September 23, 2010 Cost-benefit analysis of state and hospital funded postpartum intrauterine contraception for recent immigrants to the United States Maria Rodriguez,
More informationCURRICULUM VITAE. Steven G. Bernstein, M.D Walnut Hill Lane Suite 316 Dallas, Texas (214)
BIRTH DATE: March 9, 1949 TAX ID: 75-1980307 ADDRESS: 8160 Walnut Hill Lane Suite 316 Dallas, Texas 75231 (214) 691-9484 CITIZENSHIP: United States MARITAL STATUS: Married DEGREES: B.A. George Washington
More informationCLINICAL GUIDELINES ID TAG Female Sterilisation (tubal occlusion) at Caesarean Section- Guideline for counselling and consent
Title: Author: Designation: Speciality / Division: Directorate: CLINICAL GUIDELINES ID TAG Female Sterilisation (tubal occlusion) at Caesarean Section- Guideline for counselling and consent Dr Meeta Kamath
More informationLabeling for Permanent Hysteroscopically-Placed Tubal Implants Intended for Sterilization
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Labeling for Permanent Hysteroscopically-Placed Tubal Implants Intended for Sterilization Draft Guidance for Industry and Food and Drug
More informationI have no financial interests in any product I will discuss today.
Cervical Cancer Screening Update and Implications for Annual Exams George F. Sawaya, MD Professor Department of Obstetrics, Gynecology and Reproductive Sciences Department of Epidemiology and Biostatistics
More informationFRANZCOG Training Program Logbook Procedure List and Classification
FRANZCOG Training Program Logbook Procedure List and Classification This logbook procedure list provides sites and trainees with the major/minor classification of procedures in the online logbook. As detailed
More informationBRCA mutation carrier patient: How to manage?
BRCA mutation carrier patient: How to manage? Clinical Case Presentation Katarzyna Sosińska-Mielcarek Department of Oncology and Radiotherapy University Clinical Center Gdansk, Poland esmo.org DISCLOSURE
More informationOvarian, Peritoneal, and Fallopian Tube Epithelial Cancer (OPT)
Ovarian, Peritoneal, and Fallopian Tube Epithelial Cancer (OPT) ACOG District II 2 Learning Objectives At the end of this clinical presentation, obstetrician gynecologists and other women s health care
More informationMedicaid Family Planning Waiver Services CPT Codes and ICD-10 Diagnosis Codes
CPT Code Description of Covered Codes Evaluation and Management 99384FP 99385FP Family planning new visit 99386FP 99394FP 99395FP Family planning established visit 99396FP 99401FP HIV counseling (pre-test)
More informationI have no financial interests in any product I will discuss today.
Cervical Cancer Screening Update and Implications for Annual Exams George F. Sawaya, MD Professor Department of Obstetrics, Gynecology and Reproductive Sciences Department of Epidemiology and Biostatistics
More informationDipartimento Materno-Infantile Direttore : Paolo Puggina. Miomectomia laparoscopica indicazioni e limiti Giuseppe De Francesco
Dipartimento Materno-Infantile Direttore : Paolo Puggina Miomectomia laparoscopica indicazioni e limiti Giuseppe De Francesco The clinical dilemma is whether we treat all symptomatic uterine leiomyomas
More informationMalcolm L. Margolin, M.D. OB/Gyn
CURRICULUM VITAE Malcolm L. Margolin, M.D. OB/Gyn UNDERGRADUATE EDUCATION Birmingham High School Van Nuys, CA 1957 Oregon State University Corvallis, OR 1957-1958 University of California Berkeley, CA
More informationPublic perception of risk-reducing salpingectomy for preventing ovarian cancer
Original Article Obstet Gynecol Sci 2015;58(4):284-288 http://dx.doi.org/10.5468/ogs.2015.58.4.284 pissn 2287-8572 eissn 2287-8580 Public perception of risk-reducing salpingectomy for preventing ovarian
More informationCase Report The Actual Role of Surgical Therapy for Ectopic Pregnancy. Evaluation of laparoscopic and laparotomic surgery in tubal pregnancy
Cronicon OPEN ACCESS GYNAECOLOGY Case Report The Actual Role of Surgical Therapy for Ectopic Pregnancy Evaluation of laparoscopic and laparotomic surgery in tubal pregnancy Edoardo Valli 1, Antonio Capece
More informationPermanent Sterilization: When you are really sure!
Permanent Sterilization: When you are really sure! Tony Ogburn MD Department of Ob/Gyn 2006-8 National Survey of Family Growth 6.1% of women had a sterilized male partner The History of Female Sterilization
More informationResults of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction
FERTILITY AND STERILITY Copyright 987 The American Fertility Society Printed in U.S.A. Results of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction
More informationPOST HYSTERECTOMY HEMATOCRIT:
POST HYSTERECTOMY HEMATOCRIT: A LEARNED ROUTINE, OR CLINICALLY USEFUL? Allison Parks CNA, Patrice Weiss M.D., Craig Koller M.Ed., Roger Lefevre M.D., Sharon Kimmel PhD. In the field of medicine, many practices
More informationScreening in Ovarian Cancer: Any closer to the Holy Grail?
Screening in Ovarian Cancer: Any closer to the Holy Grail? Charles Chip Landen, Jr., M.D., M.S. Associate Professor, Departments of Obstetrics and Gynecology, and Pathology Associate Leader, Women s Oncology
More informationMedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: PA.017.MH Last Review Date: 08/04/2016 Effective Date: 01/01/2016
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL PA.017.MH Infertility- Diagnosis This policy applies to the following lines of business: MedStar Employee (Select) MedStar MA DSNP CSNP (Not Covered) MedStar
More informationCODING GUIDELINES FOR CONTRACEPTIVES. Effective June 1, 2017 Version 1.40
CODING GUIDELINES FOR CONTRACEPTIVES Effective June 1, 2017 Version 1.40 TABLE OF CONTENTS ICD-10 CM Diagnosis Codes: Encounter for Contraception page 2 Coding for IUD Insertion and Removal Procedures
More informationUnexpected Gynecologic Findings at Laparotomy. Susan A. Davidson, MD University of Colorado, Denver School of Medicine
Unexpected Gynecologic Findings at Laparotomy Susan A. Davidson, MD University of Colorado, Denver School of Medicine Adnexal Mass: Gyn Etiologies Uterine Leiomyomas Pregnancy Malignancy Tubal Pregnancy
More informationOctober 9, Dear Ms. Chowdhury:
October 9, 2017 Joya Chowdhury, MPH Senior Coordinator, USPSTF Department of Health and Human Services Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Room 06E65A
More informationClinical Study Changing Trends in Use of Laparoscopy: A Clinical Audit
Minimally Invasive Surgery, Article ID 562785, 4 pages http://dx.doi.org/10.1155/2014/562785 Clinical Study Changing Trends in Use of Laparoscopy: A Clinical Audit Ritu Khatuja, 1 Geetika Jain, 1 Sumita
More informationTHE MODERN GYNECOLOGIC EXAMINATION & SCREENING FOR GYNECOLOGIC MALIGNANCIES
THE MODERN GYNECOLOGIC EXAMINATION & SCREENING FOR GYNECOLOGIC MALIGNANCIES Denise Uyar, MD Associate Professor OB/GYN Chief Gynecologic Oncology Medical College of Wisconsin April 12, 2019 NO DISCLOSURES
More informationFamily Planning Eligibility Program
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Family Planning Eligibility Program L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 5 3 P U B L I S H E D : N O V E M B E R 2
More informationCpt code for removal of pelvic mass
Cpt code for removal of pelvic mass Search Excision. Excess Skin, 15830. Tumor, Abdominal Wall, 22900. Exploration, 49000, 49002. Blood Vessel, 35840. Hernia Repair, 49495-49525, 49560-49587. Incision..
More informationThe Effect of Catholic Hospitals on Rates of Postpartum Sterilization in California and Texas
The Effect of Catholic Hospitals on Rates of Postpartum Sterilization in California and Texas Amanda Jean Stevenson, Joseph E. Potter Abstract We examine the role of Catholic hospitals in determining variation
More information4) Nezhat FR, Apostol R, Mahmoud M, El Daouk M. Malignant transformation of endometriosis and its clinical significance. Fertil Steril 2014 [In Pess]
Farr R. Nezhat, MD, FACOG, FACS Professor, Department of Obstetrics, Gynecology & Reproductive Science Icahn School of Medicine at Mount Sinai Director, Division of Minimally Invasive Gynecologic Surgery
More informationLong-Term Health Outcomes of Surgical Menopause
Long-Term Health Outcomes of Surgical Menopause Vanessa Jacoby, MD, MAS Associate Professor Obstetrics, Gynecology, and Reproductive Sciences University of California, San Francisco None Disclosures Overview
More informationM-AFRAKHTEH. MD OCT.2017 SHOHADA HOSPITAL TAJRISH
Unrestricted M-AFRAKHTEH. MD OCT.2017 SHOHADA HOSPITAL TAJRISH Patients at imminent risk of exsanguination Manual aortic compression Resuscitative endovascular balloon occlusion of the aorta Uterine tourniquet
More informationSCREENING FOR OVARIAN CANCER DR MACİT ARVAS
SCREENING FOR OVARIAN CANCER DR MACİT ARVAS Ovarian cancer is the leading cause of death from gynecologic malignancy In 2008, ovarian cancer was the seventh common cancer in women worldwide There were
More informationWhat You Need to Know About Ovarian Cancer
What You Need to Know About Ovarian Cancer About Us The Rhode Island Ovarian Cancer Alliance (RIOCA) was formed in honor and memory of Jessica Morris. Jessica was diagnosed with Stage IIIC Ovarian Cancer
More informationGynecologic. Indiana Regional Medical Center Procedures to Labs/Tests June 1, A/P REPAIR W/SACROSP COLPOPEXY Table 1
Indiana Regional Medical Center Procedures to Labs/Tests June 1, 2011 Gynecologic A/P REPAIR W/SACROSP COLPOPEXY Table 1 ABD SUPRACERVICAL HYSTERECTOMY Table 1 ANTERIOR POSTERIOR REPAIR Table 1 ANTERIOR
More informationAddressing The Gynecologic Oncology
Addressing The Gynecologic Oncology Workforce Crisis in Malawi Lameck Chinula, MD Obstetrician and Gynecologist University of North Carolina at Chapel Hill, Department of Obstetrics and Gynecology, USA
More informationContents SECTION I: ESSENTIALS OF LAPAROSCOPY. Chapter 1: Chronological advances in Minimal Access Surgery
Contents SECTION I: ESSENTIALS OF LAPAROSCOPY Chapter 1: Chronological advances in Minimal Access Surgery Chapter 2: Laparoscopic Equipments a. Laparoscopic Trolley b. Light cable c. Light source d. Telescope
More informationABSTRACT. KEY WORDS antibiotics; prophylaxis; hysterectomy
Infectious Diseases in Obstetrics and Gynecology 8:230-234 (2000) (C) 2000 Wiley-Liss, Inc. Wound Infection in Gynecologic Surgery Aparna A. Kamat,* Leo Brancazio, and Mark Gibson Department of Obstetrics
More informationSalpingo(s)tomy versus salpingectomy for tubal pregnancy; impact on future fertility
Patient registration label Salpingo(s)tomy versus salpingectomy for tubal pregnancy; impact on future fertility CASE RECORD FORM Patient Identification Number European Surgery in Ectopic Pregnancy study
More informationPrivileges for: Obstetrics and Gynecology
ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT CO. (Surgical & other invasive procedures requiring general anesthetic are not offered) This delineation
More informationOvarian Cancer. Georgia McCann, MD. Division of Gynecologic Oncology
Ovarian Cancer Georgia McCann, MD Division of Gynecologic Oncology Myth: Ovarian cancer is a silent killer Non-specific Abdominal pain, discomfort Bloating, back pain Urinary urgency Constipation Tiredness
More informationCarolyn Westhoff, M.D., and Anne Davis, M.D. INCIDENCE AND PREVALENCE
FERTILITY AND STERILITY VOL. 73, NO. 5, MAY 2000 Copyright 2000 American Society for Reproductive Medicine Published by Elsevier Science Inc. Printed on acid-free paper in U.S.A. CONTRACEPTION Tubal sterilization:
More informationFactors predictive of myoinvasion in cases of Complex Atypical Hyperplasia diagnosed on endometrial biopsy or curettage
Factors predictive of myoinvasion in cases of Complex Atypical Hyperplasia diagnosed on endometrial biopsy or curettage Jessica Johns, MD Jeffrey Killeen, MD Robert Kim, MD Hyeong Jun Ahn, PhD None Disclosures
More informationOB HEMORRHAGE: CARTS, KITS AND TRAYS
OBSTETRIC HEMORRHAGE CARE GUIDELINES AND COMPENDIUM OF BEST PRACTICES REVIEWED BY CADPH-MCAH: 12/1/09 OB HEMORRHAGE: CARTS, KITS AND TRAYS Leslie Casper, MD, San Diego Medical Center, Southern California
More informationKAISER PERMANENTE ANNUAL CANCER REPORT 2016 MEDICAL CENTER SAN FRANCISCO THE PERMANENTE MEDICAL GROUP COMMISSION ON CANCER COMMITTEE DECEMBER 2016
1 KAISER PERMANENTE ANNUAL CANCER REPORT 2016 SAN FRANCISCO MEDICAL CENTER THE PERMANENTE MEDICAL GROUP COMMISSION ON CANCER COMMITTEE DECEMBER 2016 2 OUR MISSION IS SIMPLE: Support our specialists in
More informationClinical Policy: Robotic Surgery Reference Number: CP.MP. 207
Clinical Policy: Robotic Surgery Reference Number: CP.MP. 207 Effective Date: 03/05 Last Review Date: 10/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important
More informationLIE GREAT IMPORTANCE of the tubal factor in the etiology of female
Salpingostomy Treatment of Female Sterility A. C. Comninos, M.D. LIE GREAT IMPORTANCE of the tubal factor in the etiology of female sterility has become evident in the last few decades as a result of the
More informationPregnancy outcome following microsurgical fimbrioplasty
FERTILITY AND STERILITY Copyright c 1982 The American Fertility Society Printed in U.SA. Pregnancy outcome following microsurgical fimbrioplasty Grant W. Patton, Jr., M.D.* Department of Obstetrics and
More informationManagement of Endometrial Hyperplasia
Management of Endometrial Hyperplasia I have nothing to disclose. Stefanie M. Ueda, M.D. Assistant Clinical Professor UCSF Division of Gynecologic Oncology Female Malignancies in the United States New
More informationL 3 -ObGyn TM for OB/GYN Residents
3 Exxcellence in Life Long Learning L 3 -ObGyn TM for OB/GYN Residents 2017 2018 Book 3 March, 2018 exxcellence.org Copyright 2017, The Foundation for Exxcellence in Women's Health, Inc. 2915 Vine Street,
More informationUpdates in Gynecologic Oncology. Todd Boren, MD Gynecologic Oncologist Chattanooga s Program in Women s Oncology Sept 8 th, 2018
Updates in Gynecologic Oncology Todd Boren, MD Gynecologic Oncologist Chattanooga s Program in Women s Oncology Sept 8 th, 2018 COI I have no conflict of interest to report Endometrial Cancer: Risk Factors
More informationLog Title: OBRES Gynecologic Case Log
Log Title: OBRES Gynecologic Case Log Hospital/Institution: (Lookup) Attending Physician (Lookup) Is Patient Pregnant? ( Y or N) MEDRECNO: (text) Date (encounter) (Date) Diagnosis DX GYN Acute Pelvic Pain
More informationCHAPTER 13 Gynaecological Procedures
CHAPTER 13 Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 Gynaecological Procedures BLOCK 1240 Application, insertion or removal procedures on ovary 35518-00
More informationAtlas Of Gynecologic Surgical
Atlas Of Gynecologic Surgical 1 / 6 2 / 6 3 / 6 Atlas Of Gynecologic Surgical This atlas of surgical videos is enhanced with medically accurate 3D animation and aims to instruct surgeons in the surgical
More informationCore Module 7: Surgical Procedures
Core Module 7: Surgical Procedures Learning outcomes: To understand and demonstrate appropriate knowledge, skills and attitudes in relation to surgical procedures Knowledge criteria GMP Clinical competency
More informationHysterectomy Fact versus fiction. Richard Dover Specialist Gynaecologist
Hysterectomy Fact versus fiction Richard Dover Specialist Gynaecologist Disclaimer Disclaimer Hysterectomy An update? Myths busted? HYSTERECTOMY Retro-chic! HMB Important cause of morbidity Affects
More informationMinimally Invasive Gynecologic Surgery Rotation Royal Victoria Hospital and Jewish General Hospital
Orientation to Rotation McGill University Obstetrics and Gynecology Residency Program Objectives of Training Rotation duration: One 4-week block at during PGY3 This rotation is part of the 12 week Reproductive
More informationSCIENTIFIC PAPER ABSTRACT INTRODUCTION MATERIALS AND METHODS
SCIENTIFIC PAPER Vaginal Cuff Closure during Robotic-Assisted Total Laparoscopic Hysterectomy: Comparing Vicryl to Barbed Sutures A. Karim Nawfal, MD, David Eisenstein, MD, Evan Theoharis, MD, Marisa Dahlman,
More informationMolly A. Brewer DVM, MD, MS Chair and Professor Department of Obstetrics and Gynecology University of Connecticut School of Medicine
Molly A. Brewer DVM, MD, MS Chair and Professor Department of Obstetrics and Gynecology University of Connecticut School of Medicine Review causes of abnormal uterine bleeding: Adolescent Reproductive
More informationOUTCOMES OF ROBOTIC, LAPAROSCOPIC AND OPEN ABDOMINAL HYSTERECTOMY FOR BENING CONDITIONS IN OBESE PATIENTS
OUTCOMES OF ROBOTIC, LAPAROSCOPIC AND OPEN ABDOMINAL HYSTERECTOMY FOR BENING CONDITIONS IN OBESE PATIENTS Omer L. Tapisiz, Tufan Oge, Ibrahim Alanbay, Mostafa Borahay, Gokhan S. Kilic Department of Obstetrics
More informationI have no financial interests in any product I will discuss today.
Cervical Cancer Prevention: 2012 and Beyond George F. Sawaya, MD Professor Department of Obstetrics, Gynecology and Reproductive Sciences Department of Epidemiology and Biostatistics University of California,
More informationClinical Study Initial Experience with Robotic Retropubic Urethropexy Compared to Open Retropubic Urethropexy
Obstetrics and Gynecology International Volume 2013, Article ID 315680, 5 pages http://dx.doi.org/10.1155/2013/315680 Clinical Study Initial Experience with Retropubic Urethropexy Compared to Open Retropubic
More informationHereditary Gynecologic Cancer 15 Years of Progress
Hereditary Gynecologic Cancer 15 Years of Progress Bethan Powell, M. D. Kaiser Permanente UCSF Gynecologic Cancer Risk Program Hereditary Gynecologic Cancer Syndromes BRCA 1 and 2: ovarian Lynch: ovarian/endometrial
More informationHEDIS QUICK REFERENCE GUIDE: DOCUMENTATION TIPS FOR ADULT MEASURES
HEDIS QUICK REFERENCE GUIDE: DOCUMENTATION TIPS FOR ADULT MEASURES For Health Care Providers January 2018 Helping you improve your scores, as you improve the health of your patients. Healthcare Effectiveness
More informationSchedule of Benefits. for Professional Fees Gynaecology
Schedule of Benefits for Professional Fees 2018 Gynaecology CERVIX 2140 Cervix, amputation of (I.P.) 2145 Cervix, biopsy of (I.P.) 2146 Cervix, cone biopsy of (I.P.) 2150 Cervical polypi, removal of (I.P.)
More informationClinical Policy Title: Fluorescence in situ hybridization for cervical cancer screening
Clinical Policy Title: Fluorescence in situ hybridization for cervical cancer screening Clinical Policy Number: 01.01.02 Effective Date: April 1, 2015 Initial Review Date: January 21, 2015 Most Recent
More information